Individual
MR. MITCHELL LEE LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 795-8334
(509) 795-8304
Mailing address
5600 E 8TH AVE, SPOKANE VALLEY, WA 99212-0220
(509) 795-8334
(509) 795-8304
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60116293
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP60116293
—
WA
Enumeration date
04/03/2012
Last updated
10/20/2022
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